Dijital arter perforatör flepler: Parmak ucu ampütasyonu onarımında kolay ve güvenilir bir seçenek

Öz

Amaç: Bu çalışmanın amacı parmak ucu rekonstrüksiyonunda dijital arter perforatör (DAP) fleplerinin kullanımı ve etkinliğini incelemekti. Çalışma planı: Travmatik parmak ucu ampütasyonu sonrası, 2007 ila 2011 yılları arasında 5 hastanın (4 erkek, 1 kadın) 7 parmak ucunun genişletilmiş DAP flebi kullanılarak rekonstrüksiyonu yapıldı. Ortalama flep boyu 4.25 cm2 idi. Bulgular: Bir hasta haricinde bütün flepler yaşadı. Bu hastamızda gözlenen parsiyel deri nekrozu ıslak pansuman ile tedavi edildi. Beş parmakta verici alana tam kalınlıkta deri grefti kondu, diğer iki hastada verici alan primer olarak kapatıldı. Onarım yapılan parmakların hiçbirinde hipersensitivite ya da soğuk intoleransı gözlenmedi. Çıkarımlar: Dijital arter perforatör flep güvenilir bir serbest-stil perforatör flep olarak tüm parmak ucu yaralanmalarında kullanılabilir.

Anahtar Kelimeler

• Dijital arter perforatör flep; parmak ucu; rekonstrüksiyon

Digital artery perforator flaps: an easy and reliable choice for fingertip amputation reconstruction

Abstract

Objective: The aim of this study was to evaluate the use and efficacy of digital artery perforator (DAP) flaps in fingertip reconstruction.
Methods: From 2007 to 2011, 7 fingers of 5 patients (4 male, 1 female) underwent fingertip reconstruction with extended DAP flaps following traumatic fingertip amputation. Average flap size was 4.25 cm2.
Results: All flaps survived except one case in which partial skin necrosis was observed and treated with wet-dressing. Donor sites were closed with full-thickness skin grafting in 5 and primarily in 2 fingers. We did not observe hypersensitivity or cold intolerance in repaired fingers.
Conclusion: The DAP flap is a reliable, free-style perforator flap that can be used for all types of fingertip injuries.

Keywords

• Digital artery perforator flap
• fingertip
• reconstruction

Kaynakça

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